Bright Health Brings Its Innovative Model to South Carolina in Collaboration with Southeastern Health Partners in 2020

Staff Report From South Carolina CEO

Tuesday, October 8th, 2019

Bright Health announced details of its 2020 individual and family plans and Medicare Advantage plans for South Carolina. Bright Health developed its plans in collaboration with Southeastern Health Partners (SEHP), a clinically integrated network (CIN) formed as a joint venture between AnMed Health, Bon Secours St. Francis and Spartanburg Regional Healthcare. Bright Health has received regulatory approval from the South Carolina Department of Insurance and the Centers for Medicare & Medicaid Services (CMS) to offer health plans during this fall's open enrollment period. Bright Health Medicare Advantage plans will be available beginning October 15th, and individual and family plans will be available for purchase beginning November 1st.

Bright Health's model features proprietary Care Partner Networks developed specifically for South Carolina residents based on several criteria, including comprehensive care across specialties, geographic reach, quality of care and operational efficiency. Working in close collaboration with doctors in its Care Partner Networks, Bright Health is able to engage proactively with members, including those with high-risk or chronic conditions, to improve health outcomes and reduce costs through coordinated in-network care. For members, this translates into a more personalized and affordable patient experience, including:

Lower out-of-pocket costs

Fewer readmissions and emergency room visits

A reduction in duplicate testing

Referral-free specialist visits

Bright Health's pricing in South Carolina is competitive. Its Silver Plans have the most affordable individual and family premiums available, and for consumers who qualify for federal subsidies, many plans are available at little or no premium cost to the individual. South Carolina seniors in qualifying counties have access to $0 premium Medicare Advantage plans.

"At Bright Health, we believe the foundation of good healthcare is a strong relationship between people and their doctors," said Bob Sheehy, Bright Health's co-founder and chief executive officer. "SEHP has distinguished themselves as a trusted provider that delivers superior, personalized care to their patients, and we look forward to working hand-in-hand with their physicians to provide a better healthcare experience for the people of South Carolina."

SEHP strives to be a high-performing, high-quality, high-value organization capable of managing the healthcare needs of diverse populations in the Upstate. Through Bright Health's partnership with SEHP, Bright Health members will have access to care from the largest clinically integrated network in the area.

"At Southeastern Health Partners we believe that collaboration is the key to improving health outcomes and ensuring an excellent experience for our patients," said Blake Allison, SEHP's CEO. "We are excited to be partnering with Bright Health to bring access to high-quality care to even more South Carolinians."

In addition to the standard benefits required for all ACA Marketplace customers, individuals and families who choose Bright Health will receive:

Cash rewards for completing healthy actions

Meal delivery after hospital stays

Transportation benefits

Many Bright Health Medicare Advantage plans also include additional benefits, such as:

$0 PCP copay

Low or $0 Part D deductible

Transportation benefits

Comprehensive dental, vision and hearing benefits